Organization
SUMMIT REHAB LLC
Active
Other names
Prohab Therapy Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN WLODARCZYK (CFO)
(580) 226-5566
Entity
Organization
Contact information
Practice address
410 W LILLIE BLVD, MADILL, OK 73446-1270
(580) 872-4277
(580) 872-4261
Mailing address
1405 4TH AVE NW, #296, ARDMORE, OK 73401
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200251830A
—
OK
05
—
200251830D
—
OK
Enumeration date
07/16/2009
Last updated
06/19/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up